Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries

Jackson, D; Durrant, L; Bishop, E; Walthall, H; Betteridge, R; Gardner, S; Coulton, W; Hutchinson, M; Neville, S; Davidson, PM; Usher, K

Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries

Jackson, D

Durrant, L Bishop, E Walthall, H Betteridge, R Gardner, S Coulton, W Hutchinson, M Neville, S Davidson, PM

Usher, K

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Publication Type:: Journal Article
Citation:: Contemporary Nurse, 2017, 53 (3), pp. 378 - 389
Issue Date:: 2017-05-04

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Field	Value	Language
dc.contributor.author	Jackson, D https://orcid.org/0000-0001-5252-5325	en_US
dc.contributor.author	Durrant, L	en_US
dc.contributor.author	Bishop, E	en_US
dc.contributor.author	Walthall, H	en_US
dc.contributor.author	Betteridge, R	en_US
dc.contributor.author	Gardner, S	en_US
dc.contributor.author	Coulton, W	en_US
dc.contributor.author	Hutchinson, M	en_US
dc.contributor.author	Neville, S	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	Usher, K https://orcid.org/0000-0002-9686-5003	en_US
dc.date.issued	2017-05-04	en_US
dc.identifier.citation	Contemporary Nurse, 2017, 53 (3), pp. 378 - 389	en_US
dc.identifier.issn	1037-6178	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117901
dc.description.abstract	© 2017 Informa UK Limited, trading as Taylor & Francis Group. Background: Health care within the home setting is a vital and growing component of pressure injury (PI) prevention and management. Objectives: To describe the use of health services and pressure-redistributing devices in community dwelling patients with PI’s. Design: Mixed-methods collective case study of a defined, diverse geographic postcode area in the United Kingdom. Methods: Quantitative retrospective analysis of electronic and paper medical records of adult PI patients from 2015 district nursing reports. Qualitative semi-structured interviews of community dwelling adult patients receiving, or received, treatment for PI in 2016. Results: Mandatory reports (n = 103) revealed that 90 patients were supplied with a variety of pressure-redistributing devices but only one-third of patients used the equipment as recommended. Qualitative interviews (n = 12), reported to COREQ guidelines, revealed that patients felt reliant on community health services, and were concerned about the consistency of their care. Conclusions: Authentic patient involvement is required to provide care and interventions that are acceptable to PI patients and can be incorporated into self-care strategies and effectively monitored.	en_US
dc.relation.ispartof	Contemporary Nurse	en_US
dc.relation.isbasedon	10.1080/10376178.2017.1364973	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Pressure Ulcer	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	United Kingdom	en_US
dc.title	Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries	en_US
dc.type	Journal Article
utslib.citation.volume	3	en_US
utslib.citation.volume	53	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	open_access
pubs.issue	3	en_US
pubs.publication-status	Published	en_US
pubs.volume	53	en_US

Abstract:

© 2017 Informa UK Limited, trading as Taylor & Francis Group. Background: Health care within the home setting is a vital and growing component of pressure injury (PI) prevention and management. Objectives: To describe the use of health services and pressure-redistributing devices in community dwelling patients with PI’s. Design: Mixed-methods collective case study of a defined, diverse geographic postcode area in the United Kingdom. Methods: Quantitative retrospective analysis of electronic and paper medical records of adult PI patients from 2015 district nursing reports. Qualitative semi-structured interviews of community dwelling adult patients receiving, or received, treatment for PI in 2016. Results: Mandatory reports (n = 103) revealed that 90 patients were supplied with a variety of pressure-redistributing devices but only one-third of patients used the equipment as recommended. Qualitative interviews (n = 12), reported to COREQ guidelines, revealed that patients felt reliant on community health services, and were concerned about the consistency of their care. Conclusions: Authentic patient involvement is required to provide care and interventions that are acceptable to PI patients and can be incorporated into self-care strategies and effectively monitored.

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http://hdl.handle.net/10453/117901